| Thomas J Putnam, LCSW | |
|
525 2nd St Sw, Albuquerque, NM 87102-3831 | |
| (505) 604-1244 | |
| Not Available |
| Full Name | Thomas J Putnam |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 525 2nd St Sw, Albuquerque, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326560020 | NPI | - | NPPES |
| 82485747 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C-11169 (New Mexico) | Primary |
| Entity Name | Rise Up New Mexico Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295371714 PECOS PAC ID: 7719318872 Enrollment ID: O20200506000902 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J Putnam, LCSW 8815 Tradewind Rd Nw, Albuquerque, NM 87121-7021 Ph: (505) 604-1244 | Thomas J Putnam, LCSW 525 2nd St Sw, Albuquerque, NM 87102-3831 Ph: (505) 604-1244 |
Mrs. Jeniffer Lynn Lang, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2530 Virginia St Ne Ste 400, Albuquerque, NM 87110 Phone: 505-291-6314 | |
Ms. Danelle W Marshall, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 707 Broadway Blvd Ne Ste 500, Albuquerque, NM 87102 Phone: 505-268-0701 Fax: 270-689-6677 | |
Mariah Vasquez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1709 Moon St Ne, Albuquerque, NM 87112 Phone: 505-271-0329 | |
Anna Marie Gonzales, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1709 Moon St Ne, Albuquerque, NM 87112 Phone: 505-271-0329 | |
Lyric Lawson-parks, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 707 Broadway Blvd Ne, Albuquerque, NM 87102 Phone: 505-268-0701 Fax: 270-689-6677 | |
Samuel Hufnagel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 4th St Nw Ste 102, Albuquerque, NM 87102 Phone: 505-705-9636 | |
Bintou Demba, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5203 Juan Tabo Blvd Ne, Albuquerque, NM 87111 Phone: 505-550-1011 |